Provider Demographics
NPI:1346574936
Name:SCHATZ, WHITNEY (LAC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 W SEXTON RD
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-9131
Mailing Address - Country:US
Mailing Address - Phone:415-235-7942
Mailing Address - Fax:
Practice Address - Street 1:423 MATHESON ST
Practice Address - Street 2:
Practice Address - City:HEALDSBURG
Practice Address - State:CA
Practice Address - Zip Code:95448-4207
Practice Address - Country:US
Practice Address - Phone:707-829-1894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12335171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist